Healthcare Provider Details

I. General information

NPI: 1982275624
Provider Name (Legal Business Name): LAROUGE PERSONAL HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2021
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 AIRLINE HWY STE 233
BATON ROUGE LA
70816-8195
US

IV. Provider business mailing address

PO BOX 485
BAKER LA
70704-0485
US

V. Phone/Fax

Practice location:
  • Phone: 225-993-0486
  • Fax: 225-341-8763
Mailing address:
  • Phone: 225-286-5291
  • Fax: 225-341-8763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: EBONY BROWN
Title or Position: OWNER
Credential:
Phone: 225-993-0486